| NPI | 1871204412 |
|---|---|
| Former Name | ELINA GRIGORYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022253) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95123379) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-19 |